Read post 7 where the OP reports speaking to a critical care physician in the US who did not urge them to go immediately but to observe the patient.
The OP's husband was seen by a medical professional who stitched up the wound. If there had been any suspicion that it was more serious they would have taken him to Santo Domingo right there and then, don't you think?
We have steel cables that are stabilizers for our windmill, they're hard to see sometimes. The pick ricocheted off the cable on an upward swing, and took most of the blow before hitting Mr. AE. Thank God, or he'd probably be dead. The cut is about 3" long. It seemed like gallons of blood were pouring down.
He was treated in a tiny public hospital about a block from our house, and I have to say I was impressed while there. They were professional, sterile, and according to Critical Care Physician in the US, they did everything right. Including a tetanus shot, first one of 3, antibiotics for 7 days, antibiotic cream, pain relievers. He has to go back in a week to remove stitches.
He's had no neurological symptoms, is taking it easy [for a change], and refused to go for a CT scan, which would have given me peace of mind. The area around the injury is tender, but he's dealing with it well.